SNF Claims Incorrectly Denied

CMS announced that when the 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility Consolidated Billing was implemented in January 2011, a few codes were not included in the claims processing system edits. A correction was implemented on Monday, March 14, 2011. Providers who submitted claims for these services before Monday, March 14, 2011 may have had claims incorrectly denied. Providers who believe they received an incorrect denial should contact their Medicare Carrier or Medicare Administrative Contractor to have the claims reopened and reprocessed. Claims submitted after March 14, 2011 should process correctly. For a copy of the CMS notice and a listing of the claims click here.

For additional information, please contact Lori McLaughlin at lmclaughlin@kdlegal.com or 219-227-6075.